Implementation of a guideline for the management of hospitalized adults with uncomplicated skin and soft-tissue infections may decrease unnecessary antibiotic use. For cellulitis, treatment with vancomycin and broad-spectrum antibiotics decreased significantly. For cutaneous abscess, treatment with broad-spectrum antibiotics decreased significantly. There were no differences in rates of treatme...

A potential problem with the standard method of skin closure in pediatric surgery is the development of a skin abscess. To avoid this problem, we introduce a new stitch--the L-stitch. The technique involves passing the suture subcuticularly at the end of the incision and redirecting the needle at a 90 degree angle from the previous suture, before bringing it out to the skin surface. This stitch...

In 1911 Alfred Whitmore and C.S. Krishnaswami noticed that morphine addicts in Rangoon were afflicted by a lethal illness bearing a striking similarity to glanders!,2. Autopsy findings were characterized by widespread caseous consolidation of the lungs with abscesses in the liver, spleen, kidney and subcutaneous tissues. Glanders, an infection caused by Burkholderia mallei, is predominantly, a ...

Inguinal or groin region is an area of diagnostic mysteries. It usually associated with a painless painful swellings. Swellings in this can be congenital acquired, acute chronic, single multiple, soft to hard, mobile immobile and appear suddenly gradually. Commonest swelling simple direct indirect inguinal hernia children adults positive cough impulse. The next common lump femoral hernia, hydro...

Urachus is a tubular formation originating from the top of urinary bladder and directed to umbilicus between peritoneum transverse fascia abdomen. In an embryo, it serves divert primary urine amniotic fluid. case, if obliteration duct does not occur until birth, various pathological processes can develop in it. The most common abnomalies urachus reported adults are infected urachal cyst carcino...

Streptococcus pneumoniae usually produces infection of the respiratory tract, inner ear or meninges. Unusual sites of infection have rarely been reported among HIV-1 seropositive patients. We report a case of post auricular subcutaneous abscess caused by Streptococcus pneumoniae in a Human Immunodeficiency Virus (HIV) infected child who also had B cell lymphoma. This case is uncommon as there w...

Dissemination of primary cutaneous nocardiosis is a rare event. An interesting case of a 20 year old female labourer with progressive weakness in both the lower limbs and large multiple subcutaneous abscesses over the back, since 4 years, is presented. MRI showed an epidural abscess compressing the cord. Histopathology of skin lesions suggested a chronic suppurative lesion. Microbiological test...

Phaeohyphomycosis is a term used to describe infections caused by dematiaceous fungi, i.e. fungi which contain melanin in their cell wall. Cladophialophora bantiana has been implicated to cause brain abscess in immunocompromised patients. Infection caused by Cladophialophora bantiana in an immunocompetent host is relatively rare. Surgical site infection at abdominal subcutaneous tissue caused b...

Phaeohyphomycosis refers to infection of tissues by dematiaceous fungi which occur most commonly due to traumatic inoculation of fungi. A host reaction to these fungi can ultimately lead to the formation of a cystic cavity or abscess. Here we present a 71 year old woman who presented with a nodular swelling over the left elbow. A surgical excision was performed. On histopathological examination...

An 82-year-old woman presented with a four-month history of an ulcerative plaque overlying her left neck. This lesion had developed as a subcutaneous nodule, gradually increased in size, and evolved into ulcers. Before visiting our Dermatology clinic, the patient had been diagnosed as having a bacterial abscess, but treatments with antibiotics were unsuccessful. The presence of a purulent disch...